Employment ReferencePlease enable JavaScript in your browser to complete this form.Applicant Name *FirstLastReference Name *FirstLastReference Email *Reference Phone *How long have you known the applicant? *What is your relationship to the applicant? *Would you be comfortable with the applicant providing care for your child or family member? *YesNoNot sureWhy or why not?Please comment on the applicant’s strengths and any recommendations you have about areas they may need development? *Using the scale below please rate the applicant from 1-5, with 5 being the best, on the following:Reliability and Timeliness: *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Comments:Patience: *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Comments: Professionalism and Maturity: *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Comments:Communication: *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Comments:If given the opportunity to rehire the applicant, would you? *YesNoDo you have any additional comments?Submit
